0001731122-22-001353.txt : 20220812 0001731122-22-001353.hdr.sgml : 20220812 20220812060119 ACCESSION NUMBER: 0001731122-22-001353 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220811 FILED AS OF DATE: 20220812 DATE AS OF CHANGE: 20220812 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VISCONTI JOSEPH C CENTRAL INDEX KEY: 0001070916 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41469 FILM NUMBER: 221157643 MAIL ADDRESS: STREET 1: 525 SOUTH FLAGLER DRIVE #400 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Forza X1, Inc. CENTRAL INDEX KEY: 0001901305 STANDARD INDUSTRIAL CLASSIFICATION: SHIP & BOAT BUILDING & REPAIRING [3730] IRS NUMBER: 873159685 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3101 S. US-1 CITY: FT. PIERCE STATE: FL ZIP: 34982 BUSINESS PHONE: 772-202-8039 MAIL ADDRESS: STREET 1: 3101 S. US-1 CITY: FT. PIERCE STATE: FL ZIP: 34982 4 1 ownership.xml X0306 4 2022-08-11 0 0001901305 Forza X1, Inc. FRZA 0001070916 VISCONTI JOSEPH C C/O FORZA X1, INC., 3101 S. US-1 FT. PIERCE FL 34982 1 1 1 0 Executive Chairman Stock Options (right to purchase) 5.00 2022-08-11 4 A 0 400000 0 A 2022-09-01 2032-08-11 Common Stock 400000 400000 D Consists of options to purchase 400,000 shares of common stock that will vest pro rata on a monthly basis over a thirty six-month period and exercisable for a period of ten years from the date of grant, commencing on September 1, 2022. /s/ Joseph C. Visconti 2022-08-12